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Medical ethics : ウィキペディア英語版
Medical ethics

Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine.
As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, and sociology.
==History==

Historically, Western medical ethics may be traced to guidelines on the duty of physicians in antiquity, such as the Hippocratic Oath, and early Christian teachings. The first code of medical ethics, ''Formula Comitis Archiatrorum'', was published in the 5th century, during the reign of the Ostrogothic king Theodoric the Great. In the medieval and early modern period, the field is indebted to Islamic scholarship such as Ishaq ibn Ali al-Ruhawi (who wrote the ''Conduct of a Physician'', the first book dedicated to medical ethics), Avicenna's Canon of Medicine and Muhammad ibn Zakariya ar-Razi (known as Rhazes in the West), Jewish thinkers such as Maimonides, Roman Catholic scholastic thinkers such as Thomas Aquinas, and the case-oriented analysis (casuistry) of Catholic moral theology. These intellectual traditions continue in Catholic, Islamic and Jewish medical ethics.
By the 18th and 19th centuries, medical ethics emerged as a more self-conscious discourse. In England, Thomas Percival, a physician and author, crafted the first modern code of medical ethics. He drew up a pamphlet with the code in 1794 and wrote an expanded version in 1803, in which he coined the expressions "medical ethics" and "medical jurisprudence".〔(''Codes of Ethics: Some History'', Center for the Study of Ethics in the Professions at IIT )〕 However, there are some who see Percival's guidelines that relate to physician consultations as being excessively protective of the home physician's reputation. Jeffrey Berlant is one such critic who considers Percival's codes of physician consultations as being an early example of the anti-competitive, "guild"-like nature of the physician community.
In 1815, the Apothecaries Act was passed by the Parliament of the United Kingdom. It introduced compulsory apprenticeship and formal qualifications for the apothecaries of the day under the license of the Society of Apothecaries. This was the beginning of regulation of the medical profession in the UK.
In 1847, the American Medical Association adopted its first code of ethics, with this being based in large part upon Percival's work (). While the secularized field borrowed largely from Catholic medical ethics, in the 20th century a distinctively liberal Protestant approach was articulated by thinkers such as Joseph Fletcher. In the 1960s and 1970s, building upon liberal theory and procedural justice, much of the discourse of medical ethics went through a dramatic shift and largely reconfigured itself into bioethics.〔Walter, Klein eds. ''The Story of Bioethics: From seminal works to contemporary explorations''.〕
Well-known medical ethics cases include:
* Albert Kligman's dermatology experiments
* Deep sleep therapy
* Doctors' Trial
* ''Greenberg v. Miami Children's Hospital Research Institute''
* Henrietta Lacks
* Human radiation experiments
* Jesse Gelsinger
* ''Moore v. Regents of the University of California''
* Surgical removal of body parts to try to improve mental health
* Medical Experimentation on Black Americans
* Milgram experiment
* Radioactive iodine experiments
* The Monster Study
* Plutonium injections
* The David Reimer case
* The Stanford Prison Experiment
* Tuskegee syphilis experiment
* Willowbrook State School
* Yanomami blood sample collection
*
* ''Darkness in El Dorado''
Since the 1970s, the growing influence of ethics in contemporary medicine can be seen in the increasing use of Institutional Review Boards to evaluate experiments on human subjects, the establishment of hospital ethics committees, the expansion of the role of clinician ethicists, and the integration of ethics into many medical school curricula.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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